Billing and Collections Specialist – FT Position Available In St. James, Louisiana
Tallo's Job Summary: The Billing and Collections Specialist - FT position at St. James Parish Hospital in Lutcher, LA involves processing medical claims, insurance follow-up, and collections to optimize revenue cycle performance. Requirements include a high school diploma, computer skills, and strong communication abilities. The preferred qualifications include three years of hospital claims experience and familiarity with patient accounting systems like EPIC or Cerner. The work schedule is Monday-Friday with 8-hour shifts.
Job Description
Billing and Collections Specialist – FT 3.6 3.6 out of 5 stars 2454 Louisiana Avenue, Lutcher, LA 70071 The Billing and Collection Specialist is responsible for the accurate and timely processing of medical claims, insurance follow-up, and collections to ensure optimal revenue cycle performance. This role requires strong knowledge of medical billing procedures, insurance reimbursement processes, and effective communication skills to resolve outstanding balances with payers and patients.
Job Duties:
Generate, review, and/or submit new or corrected medical claims or appeals to assigned payors daily, ensuring compliance with commercial and government billing requirements. Resolves claim edits and rejections for billing to all payors daily in the claims clearinghouse and/or Medicare DDE to ensure accurate claim submission when assigned. Retrieve and reconcile assigned claim audit reports to ensure claim generation, submission and acceptance. Analyzes and conducts research on outstanding or denied claims to determine steps needed for claim resolution. Works with payors to resolve reimbursement discrepancies, claim rejections and denials Submits corrected claims or appeals as needed in the manner that would ensure a greater chance of claim being approved and processed. Accurately posts any required adjustments. Maintains accurate records by documenting detailed notes on patient account in the information system regarding changes to encounter information, changes to billing information, and other actions Collaborates with departmental staff regarding billing information, denials, charges, late charges, or any other inquiries as needed. Reviews and resolves assigned health plan and patient credit balances Maintains knowledge of commercial and governmental health plan regulations and reimbursement policies and procedures Completes assigned reports and statistics for SJPH and Governmental and Regulatory Compliance reporting as needed Responds to requests for information, supporting documentation and other activities required to expedite and receive payment on claim Escalates any issues or concerns regarding individual insurance companies, including problem accounts when appropriate intervention is required. Serves as a back-up for all PFS positions as needed
Required:
High School Diploma or equivalent Computer and typing skills Strong multi-tasking skills Excellent oral and written communication and customer service skills
Preferred:
Three years experience directly related to hospital claims, including denials and/or appeals and billing Strong critical-thinking and problem-solving skills Experience with EPIC, Cerner, and/or another major patient accounting system
NAHAM or AAHAM Certification Work Schedule:
Monday-Friday; 8-Hour shifts Thank you for your interest in joining our hospital . St. James Parish Hospital is centrally located directly between New Orleans and Baton Rouge. We invite you to learn more about our hospital’s culture, and benefits. Follow us on Facebook to stay connected and learn about future career opportunities.
